Active NPI
Vanessa Lagemann
- Clinical Social Worker
- West Valley City, UT
National Provider Identifier
1427488436
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 390200000X.
- Practice address
- 5698 W Glen Eagle Dr
West Valley City, UT 84128-4013 - Phone
- (801) 969-4181
- NPI assigned
- Nov 13, 2013
- Last updated
- Nov 13, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 390200000X. | UT | Primary |
Addresses
Primary practice location
5698 W Glen Eagle Dr
West Valley City, UT 84128-4013
Mailing address
5698 W Glen Eagle Dr
West Valley City, UT 84128-4013
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 390200000X. | UT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| LDS Family Services | Past | Accepting new patients | |
| LDS Family Services | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba LDS Family Services W Valley Agency
- Counselor
- West Valley City, UT
- NPI 1548342553
-
dba LDS Family Services wA Seattle Agency
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Renton, WA
- NPI 1073726485
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1384300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1384300800000",
"number": "1427488436",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5698 W GLEN EAGLE DR",
"city": "WEST VALLEY CITY",
"state": "UT",
"postal_code": "841284013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5698 W GLEN EAGLE DR",
"city": "WEST VALLEY CITY",
"state": "UT",
"postal_code": "841284013",
"telephone_number": "801-969-4181"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAGEMANN",
"first_name": "VANESSA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-11-13",
"last_updated": "2013-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "UT",
"license": "390200000X.",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Valley City, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.